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INNOVAGE VIRGINIA PACE - ROANOKE VALLEY LLC NPI 1346684974


NPI Information

NPI: 1346684974
Provider Name: INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC

Doing Business As: INNOVAGE VIRGINIA PACE - ROANOKE VALLEY

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
5251 CONCOURSE DR
ROANOKE, VA
ZIP 24019
Phone: (540) 904-2817
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INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC is a program of all inclusive care for the elderly pace provider organization in Roanoke, VA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC NPI is 1346684974. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovage Virginia Pace - Roanoke Valley.

The provider's business location address is:

5251 CONCOURSE DR
ROANOKE, VA
ZIP 24019-081
Phone: (540) 904-2817
Fax: (540) 682-5946

The provider's authorized official is Josh D. Mcgilliard .
The authorized official title is Regional Executive Director and has the following contact phone number (540) 595-6563.

The enumeration date for this NPI number is 4/25/2013 and was last updated on 4/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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